Provider Demographics
NPI:1982090890
Name:AGINAM, NNENNA (MD)
Entity Type:Individual
Prefix:
First Name:NNENNA
Middle Name:
Last Name:AGINAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E UNIVERSITY PARKWAY
Mailing Address - Street 2:UNION MEMORIAL HOSPITAL-DEPT OF EMERGENCY MEDICINE
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218
Mailing Address - Country:US
Mailing Address - Phone:443-777-7606
Mailing Address - Fax:
Practice Address - Street 1:201 E UNIVERSITY PARKWAY
Practice Address - Street 2:MEDSTAR UNION MEMORIAL-DEPT OF EMERGENCY MEDICINE
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218
Practice Address - Country:US
Practice Address - Phone:443-777-7606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-08
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0084880207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine